Transcript 3 General Symptoms of the Body

3 General Symptoms of the
Body
Fever
Shock
Pain
Fever
An
increased temperature by
the body to destroy invading
pathogens.
– Life is protein-dependent,
soooo…….

Denature them.
Clinical Manifestations/Etiologies
of Fever
 Infections
– Viral, bacterial, fungal, rickettsial
– Fever of Undetermined origin
 CNS – CVA, Head injuries
 Neoplasms – tumors
 Cardiovascular – MI, Bacterial
Endocarditis, CHF, Tachycardias
 FUO
Clinical Manifestations/Etiologies
of Fever
 Physical Agents
– Heat Stroke, Radiation, Surgery
 Chemical Agents
– Drugs, Anesthesia, Anaphylaxis
 Psychogenic
 Fluid
Imbalances
Fever Treatments

Remove Root Cause
– Sometimes Difficult

Increased fluid intake
 Alcohol sponging
 Cold Baths/Ice Baths
 Antipyretic Drugs (Aspirin,
Acetaminophen)
– Prostaglandin inhibition (hypothalamus)
Shock
 Low
blood perfusion through
vessels.
– Thus, tissue delivery is low.
– Any change in flow, distribution,
reduction in blood flow will cause
shock.
Shock Signs and Symptoms

Ashen pallor
 Cold, Moist Skin
 Rapid Pulse
 Thirst
 Decreased Urine Output
 Acidosis
Shock Syndromes

Neurogenic Shock: Psychogenic, Fainting,
Syncope
– Pain, trauma, unpleasant sights
 “Faint at the sight of blood”

Hypovolemic: Loss of blood volume
– Large wounds, progressive dehydration

Sepsis: Shock due to infection
Shock Syndromes
Cardiogenic – MI, Tachycardias
 Metabolic

– Fluid alteration/Electrolyte imbalance
– Uremia (First Azotemia)
 Kidney Failure
 Uremia take a long time to develop.
 Azotemia is measurable, without symptoms.

Allergic - Anaphylaxis
Shock Treatment

Position head lower than feet
 Warmth (cover up)
 Maintain Airway (esp. in anaphylaxis)
 Pain Killers
 Fluids
 Vassopressor Drugs – Bring up BP
 Diuretics (for urine increase)
What do YOU do?
 Position
head
 Warmth
 No
administration of fluids without
trained first aiders, doctors,
medical professionals.
Pain
 “Discomfort”
 Subjective
Experience
 Nociception
– Stimulation of neural pathways that
causes pain to be sensed.
Painkillers – narcotic
or non-narcotic
 Treatment:
http://www.painclinic.uk.com/multidisiplinary.htm
– osteopathy, physiotherapy,
chiropractic
 Meds
 Physical
– Painkillers, anti-inflammatory, muscle
relaxers, steroid injections (joints or
muscles).
 Nerve
Blocks
– Drug combo. At spinal column
(painkillers, steroids). Long acting.
 Joint
injections
– Spine, shoulders, hip

Radiofrequency Treatments
– Needle carries electric pulse to destroy sensory
nerves to an area (Spine, neck, back).

Pulsed radiofrequency
– Similar procedure as Radiofrequency.
– “Stuns” nerve – no permanent damage.

Stimulation Therapy
– TENS (Trans-Cutaneous Electrical Stimulation)
– Acupuncture

Psychological/Pain management program
– Relaxation, Information, Education, Phys.
Therapy, Reconditioning.